Current jobs related to General Liability Claim Handling Examiner/Adjuster - Aurora - Sedgwick
-
Medical Claims Examiner
1 week ago
Aurora, Colorado, United States UNITE HERE HEALTH Full timeUNITE HERE HEALTH is a leading provider of healthcare benefits to workers and their families in the hospitality and gaming industry. Our innovative approach to healthcare drives us to develop impactful programs and benefits that engage participants in managing their own health and healthcare. We are seeking a Claims Adjudicator I to join our team in a fully...
-
Medical Claims Examiner
2 days ago
Aurora, Colorado, United States UNITE HERE HEALTH Full timeJob Title: Claims Adjudicator IUNITE HERE HEALTH is a leading healthcare provider serving 190,000+ workers and their families nationwide. We strive to innovate and progress, developing impactful programs and benefits to engage participants in managing their health and healthcare.The Claims Adjudicator I position is a fully remote opportunity. As an...
-
Outside Property Claims Adjuster
6 days ago
Aurora, Colorado, United States The Travelers Companies, Inc Full timeJob SummaryWe are seeking a highly skilled Outside Property Claim Representative to join our team. As a key member of our claims organization, you will be responsible for handling first-party property claims of moderate severity and complexity.Key ResponsibilitiesInvestigate and evaluate claims to determine coverage, damages, and liabilityConduct field...
-
Outside Property Claims Adjuster
2 days ago
Aurora, Colorado, United States The Travelers Companies, Inc Full timeJob SummaryWe are seeking a highly skilled Outside Property Claim Representative to join our team. As a key member of our claims organization, you will be responsible for handling first-party property claims of moderate severity and complexity.Key ResponsibilitiesInvestigate and evaluate claims to determine coverage, damages, and liabilityConduct field...
-
Claims Adjudicator I
2 months ago
Aurora, United States UNITE HERE HEALTH Full timeJob DescriptionJob DescriptionUNITE HERE HEALTH serves 190,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging....
-
Claims Adjudicator I
4 weeks ago
Aurora, United States UNITE HERE HEALTH Full timeUNITE HERE HEALTH serves 190,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more...
-
Healthcare Claims Specialist
4 weeks ago
Aurora, Illinois, United States Asbury Gardens Careers Full timePosition Overview:Asbury Gardens is looking for a dedicated Claims Specialist to manage and oversee the billing and claims process for various Medicare programs. This role is essential in ensuring accurate and timely claims submission and follow-up.Key Responsibilities:Prepare, submit, and monitor claims for Medicare Part A, Part B, and Medicare Managed Care...
-
Roofing Sales Professional
3 weeks ago
Aurora, Colorado, United States Proliance General Contractors Full timeJob OverviewCompany DescriptionProliance General Contractors is a rapidly expanding company that specializes in facilitating the approval of new roofing and siding installations through insurance claims in Illinois.Job SummaryWe are seeking a highly skilled Ladder Assist/Adjuster Assistant to support our team of adjusters in various tasks, including setting...
-
Claims Authorization Specialist
2 days ago
Aurora, Colorado, United States Kaiser Permanente Full timeJob SummaryWe are seeking a highly skilled Claims Authorization Specialist to join our team at Kaiser Permanente. In this role, you will be responsible for performing full scope investigative and research functions associated with pre/post authorizations for member claims and referrals.Key ResponsibilitiesEnsure pre-authorizations are complete and accurate,...
-
Warranty Claims Specialist
4 days ago
Aurora, Colorado, United States McCandless Truck Center Aurora Full timeJob SummaryWe are seeking a highly organized and detail-oriented Warranty Claims Specialist to join our team at McCandless Truck Center Aurora. As a key member of our service department, you will be responsible for processing warranty claims and invoices for all locations and departments in a timely and accurate manner.Key ResponsibilitiesProcess warranty...
-
Claims Resolution Specialist
6 days ago
Aurora, Oregon, United States InterDent Service Corporation Full timeJob Title: CBO Coordinator - Claims Resolution SpecialistInterDent Service Corporation is a leading provider of dental services, supporting 180 dental offices across 8 western states. We are seeking a highly skilled CBO Coordinator - Claims Resolution Specialist to join our team.Job Summary:The CBO Coordinator - Claims Resolution Specialist will be...
-
Insurance Broker
2 weeks ago
Aurora, United States Farmers Insurance Group Full timeDescriptionAre you ready to take on the challenge of building your very own team of first-rate insurance agents? If so, we need to talk. Our agency is expanding and we need an insurance broker ready to step up to the plate and recruit, train, and develop agents with high potential and turn them into top performers. If you're a self-motivated, driven,...
-
Facilities Maintenance Lead
4 weeks ago
Aurora, Colorado, United States Dollar General Full timeJob OverviewAt Dollar General, we are committed to creating a supportive environment for our employees. Our mission revolves around Serving Others, and we appreciate the unique contributions of each team member. Explore the various career paths available within our organization, including opportunities in our retail locations, distribution centers, and...
-
Administrative Assistant/Junior Accountant
2 months ago
Aurora, United States SDC CPAs LLC Full timeJob DescriptionJob DescriptionWe are seeking a driven and skilled Administrative Assistant to join our team. If you thrive in a fast-paced work environment, are proficient at multi-tasking, and have experience with various office software (Outlook, Microsoft Word, Excel, and Adobe), with specific knowledge and experience in QuickBooks, this position may be...
-
Facilities Maintenance Lead
4 weeks ago
Aurora, Colorado, United States Dollar General Full timeJob OverviewAt Dollar General, we are committed to creating a supportive environment for our employees. Our mission is to serve our customers and communities, and we recognize that our workforce is essential to achieving this goal. We offer diverse career paths across various sectors, including retail locations and distribution centers.Company Profile:Dollar...
-
Material Handling Specialist
2 weeks ago
Aurora, Illinois, United States Tangent Technologies Full timeJob SummaryThe Material Handling Specialist role is a critical component of manufacturing operations at Tangent Technologies. This position focuses on the safe and efficient movement and staging of materials within the facility using sit-down forklifts and completing precise secondary work on materials as needed.Key ResponsibilitiesMaterials Transportation:...
-
Insurance Partner
1 month ago
Aurora, United States Farmers Insurance Group Full timeDescriptionHave you ever dreamed of putting together your own team of top-performing insurance agents? If you've got what it takes to become an insurance broker on our team, we'll make that dream a reality. You'll have the chance to recruit, train, and develop your agents your way so they achieve maximum success. Applicants should be career-driven,...
-
Customer Service Representative
3 weeks ago
Aurora, Illinois, United States Aftermath Full timeAbout AftermathWe are a leading provider of biohazard remediation and trauma cleanup services, with a strong commitment to customer satisfaction and community support.Job OverviewAs a Customer Advocate, you will play a critical role in supporting our customers through the insurance claim process, handling customer service issues, and working closely with our...
-
Dental Assistant Professional
3 days ago
Aurora, Colorado, United States COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS Full timeJob SummaryCommunity Health Partnership of Illinois is seeking a skilled Dental Assistant to join our dental team. The ideal candidate will have experience assisting dentists during examinations and treatments, as well as performing administrative tasks and maintaining a clean and organized dental office.Key ResponsibilitiesAssist dentists during dental...
-
Shuttle Operations Facility Supervisor
4 weeks ago
Aurora, Colorado, United States SP+ Full timeJob OverviewCompany OverviewSP+ is committed to our mission of "Making Every Moment Matter for a World on the Go." Our dedicated team recognizes the value of time and strives to enhance the experiences of those we serve through exceptional service and innovative technology.Role SummaryThe Facility Manager for Shuttle Operations is responsible for overseeing...
General Liability Claim Handling Examiner/Adjuster
4 months ago
**The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option.**
General Liability Claim Handling Examiner/Adjuster (On-Site/Sign-On Bonus)IF YOU CARE, THERES A PLACE FOR YOU HERE
For a career path that is both challenging and rewarding, join Sedgwicks talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care and expert guidance. Our clients depend on our talented colleagues to take care of their most valuable assetstheir employees, their customers and their property. At Sedgwick, caring counts. Join our team of creative and caring people of all backgrounds, and help us make a difference in the lives of others.
With one of the largest teams of liability experts in the world, Sedgwick supports and resolves property, general, auto, product and professional liability claims. We help our clients maintain brand protection in times of crisis.
***For a limited time, Sedgwick is offering a sign-on bonus for eligible positions. This position, based on the discretion of the company, is eligible to receive a $2500 sign-on bonus. This opportunity is only available to new-hires of Sedgwick.***
**PRIMARY PURPOSE**: To process low level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
* Processes low level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
* Develops and coordinates low level general liability claims' action plans to resolution, return-to-work efforts, and approves claim payments.
* Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
* Administers subrogation of claims and negotiates settlements.
* Communicates claim action with claimant and client.
* Ensures claim files are properly documented and claims coding is correct.
* May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
* Maintains professional client relationships.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
* Performs other duties as assigned.
* Supports the organization's quality program(s).
* Travels as required.
**QUALIFICATION**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred.
**Experience**
Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required.
**Skills & Knowledge**
* Developing knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business
* Excellent oral and written communication, including presentation skills
* PC literate, including Microsoft Office products
* Analytical and interpretive skills
* Strong organizational skills
* Good interpersonal skills
* Ability to work in a team environment
* Ability to meet or exceed Service Expectations
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical:** Computer keyboarding, travel as required
**Auditory/Visual:** Hearing, vision and talking
**NOTE**: Credit security clearance, confirmed via a background credit check, is required for this position.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
locationAurora, IL